MEDICARE: CHENYENG YANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	172V00000X	Community Health Worker
3	104100000X	Social Worker	133713	CA

General Provider Information

NPI Number	:	1124673801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENYENG YANG

Provider Business Mailing Address
First Line	:	1680 W SHAW AVE STE 100
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	209-465-1080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 W SHAW AVE STE 100
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	209-465-1080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2019
Last Update Date	:	12/16/2025

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Directions to “ CHENYENG YANG ” Practice Location

Language	Start Address	Practice Location

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